Dr Theodore Matt Ware, DO | |
12200 Rivendell Dr, Oklahoma City, OK 73170-4704 | |
(405) 735-5677 | |
Not Available |
Full Name | Dr Theodore Matt Ware |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 12200 Rivendell Dr, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417067794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 3516 (Oklahoma) | Primary |
207P00000X | Emergency Medicine | 37640 (Colorado) | Secondary |
Entity Name | Mercy Clinic Oklahoma Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Emergency Services Of Oklahoma Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
Entity Name | South Central Emergency Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
Entity Name | Oklahoma Emergency Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
Mailing Address | Practice Location Address |
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Dr Theodore Matt Ware, DO 12200 Rivendell Dr, Oklahoma City, OK 73170-4704 Ph: (405) 735-5677 | Dr Theodore Matt Ware, DO 12200 Rivendell Dr, Oklahoma City, OK 73170-4704 Ph: (405) 735-5677 |
Dr. Hunter Dale Cook, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-7709 | |
Alejandro Anzaldua, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Ne 10th St, Fmc 2102, Oklahoma City, OK 73104 Phone: 405-271-2230 | |
Dr. Diana Dee Mills-maloney, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10312 Creek Meadow Dr, Oklahoma City, OK 73151 Phone: 405-771-3577 | |
Dr. David Brennan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 405-636-7000 | |
Dr. David M. Abercrombie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 Grey Fox Run, Oklahoma City, OK 73131 Phone: 405-478-3969 Fax: 405-478-3815 | |
Dr. Amy L. Sparkman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 940 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-271-2429 | |
Robert D Crane, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3715 Fax: 405-936-5058 |